Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sung Keun Park, DDS

Individual provider General Practice Dentistry · NPI 1922493345

Sung Keun Park, DDS is a General Practice Dentistry in Wake Forest, North Carolina. Licensed in North Carolina and Tennessee. Registered with an NPI since 2015.

Licensed in
NC, TN
In the registry since
2015
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1936 Heritage Branch Rd Ste 200
Wake Forest, NC 27587-7062
Phone: (984) 401-9001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12682 (NC)
General Practice Dentistry Taxonomy 1223G0001X · Licence 10017 (TN)

Record details

NPI number1922493345
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 2, 2015
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing address2904 Morning Ridge Ct, Raleigh, NC 27616-9600

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